Conder, Stephanie

Conder, Stephanie is an individual health care provider with primary practice located at 130 Independence Ln , La Follette TN 37766-3031. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Conder, Stephanie can be contacted via phone (423) 562-1705.

Contact Information

Primary practice address
130 Independence Ln La Follette TN 37766-3031
Fax: (423) 566-3718
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000014880 Tennessee
Nursing Service Providers / Critical Care Medicine 163WC0200X RN0000128792 Tennessee

Profile Details

NPI number 1083942205
LBN Legal business name Conder, Stephanie
Credentials DNP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2009
Last updated Aug 25th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083942205 NPPES
Tennessee MEDICAID Q006075

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